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Individual

LISA KAY HOLBROOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3101 SE 192ND AVE STE 103, VANCOUVER, WA 98683-1443
(360) 666-4480
Mailing address
PO BOX 2077, PORTLAND, OR 97208-2077

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00040087
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8439028
WA
Enumeration date
07/08/2006
Last updated
03/13/2025
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